Career Opportunities

Nurse Case Manager/Delegating Nurse

Title: RN Case Manager/Delegating Nurse Full Time (RN CM/DN)  

Reports To: Director

Expected Hours: Full Time/40+                                           

Salary: $66,560-$80,000      

Supervisory Duties: No                                                       

Overtime Exempt: Yes

Position Summary:                 
The RN Case Manager/Delegating Nurse (RN CM/DN) is responsible for the ongoing care of the clients that are assigned to them according to the guidelines set forth by the Developmental Disabilities Administration, Maryland Board of Nursing, and outlined in the DHCA Medication and Nursing Related Policies and Procedures manual. This responsibility also includes the delegation of and oversight of approved functions to agency staff that work at the client’s residence. The RN CM/DN is designated as a Mandatory/Essential employee. This employee is a Registered Nurse providing essential care to intellectually and developmentally disabled persons in the community and are required to report to work during State and/or National emergency periods. This may include traveling during periods with domestic travel restrictions.

Essential Responsibilities:

  • Maintain RN license, CPR certification, malpractice insurance and auto insurance.
  • Obtain RN CM/DN certification, online HRST Rater training and Online HRST Reviewer training.
  • Attend three (3) mandatory Developmental Disabilities Administration (DDA) nurse quarterly meetings per year.
  • Serve as the Delegating Nurse/Case Manager for each client assigned.
    1. When the client is first assigned, visit the client in the environment in which delegation occurs, conduct and complete an initial clinical assessment and develop the nursing plan of care.
    2. Complete Choking Risk Screening Tool and Feeding Protocol as necessary.
    3. Every 45 days, visit clients in the environment in which delegation occurs to assess their physical condition, review medications, documentation, prescriber orders, and review medical appointment/screening exams/immunizations/lab work as needed, and provide necessary care.
    4. Visit clients who are not chronic, stable, routine, uncomplicated, and predictable minimally every 2 weeks in the environment in which delegation occurs.
    5. Conduct Interim visits for clients in their residence and/or day/vocational/supported employment setting as needed for occurrences such as post-ER visits, after hospital discharge, dressing changes, falls, injuries, etc. Visit must be completed within 48 hours of incident.
    6. Delegate administration of medication and other delegatable tasks to certified Medication Technicians.
    7. Train and ensure staff’s competency in nursing care plans, delegated nursing tasks, feeding protocols (if applicable), and any other necessary tasks, protocols, or forms.
    8. Monitor and report medication errors made by residence staff.
  • Conduct medication administration practical exams for Medication Technicians.
  • Complete telephone triage responsibilities as assigned.
  • Complete, review and update online HRSTs as needed.
  • In the event that the United States Government and/or the Local State Government determines and announces the decision to close, delay or cancel activities in the State of Maryland related to emergency conditions, this position is required to complete all regular duties or as instructed by management.
  • Attend scheduled Nurse and staff meetings.
  • Other duties as assigned.

Minimum Qualifications:

  • AS, AA or BS Degree in nursing is preferred.
  • Current/valid Maryland RN license or current/valid multistate compact license is required.
  • Experience in the developmental disabilities environment is highly desired.
  • Must have current/valid state –issued driver’s license and own reliable transportation.
  • Must have a working “smart” cell phone capable of making calls, receiving calls, receiving emails and sending emails.
  • Must be able to fluently speak and understand spoken English.
  • Must be able to fluently write and read English.

Employee Expectations:

  • Excellent verbal, written, and interpersonal communication skills.
  • Quick learner, problem-solver, and strong decision-making skills.
  • Detail oriented, accurate with good organizational and time management skills.
  • Ability to work well independently and as part of a team.
  • Willingness to provide back-up support where and when needed.
  • Ability to maintain confidentiality.
  • Ability to prioritize multiple duties.
  • Creative problem-solving skills.

Physical requirements:

  • Must be able to lift a minimum of 30 pounds up to 4 times during a scheduled workday.
  • Must be able to sit and look at a computer for 6 hours during a scheduled workday.
  • Must be able to type on a computer (both laptop and desktop) keyboard and utilize a computer mouse for 6 hours during a scheduled workday.
  • Must be able to walk up and down a minimum of 20 stairs.
  • Must be able to stand for a minimum of 90 minutes.
  • Must be able to bend, kneel, and squat throughout the day.


  • RN License
  • CPR
  • RN CM/DN certification
  • Online HRST Rater Training and Online HRST Reviewer Training

Note: Dimensional Health Care Associates, Inc. reserves the right to change the duties of the job at any time and this Job Description is not designed to cover all of the position’s requirements
Note: DHCA email account information is made available to the employee on the employee’s personal electronic devices as a courtesy to the employee
Updated: 2/18/22